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Medical Forum / Diseases and Disorders / Hepatitis / November 20042 weeks check: ALT levels
Hi all, had to check after 2 weeks of tx. I actually gave the blood sample on monday, having had my shot on saturday night. Results showed that my red cells count and hemoglobin went just under the limit and ALT grew from 69 (before starting tx) to 77. I've actually been surprised by the ALT levels growing. Does this means I'm not responding? What do you think about? Is or are there web sites about this? I'm on week 5 now and I had another test at week 4 (this time I gave the blood sampple on saturday morning, exactly one week after my 4th shot). They checked for HCV-RNA levels too, as my baseline viral load was low (3000 UI/ml). Results in a couple of weeks. Hugs, jeeb Don't worry about your ALT going up while on tx, Jeeb. It does that in alot of cases. Elmo http://community.webtv.net/elmoemerson/DocElmosHepFile http://community.webtv.net/elmoemerson/TheFamilyAlbum > Don't worry about your ALT going up while on tx, Jeeb. It does that in > alot of cases. > Elmo Thanks Elmo, the fact is that actually I've been reading that: "... If the ALT level decreases quickly in the treatment process, you have a better chance of responding to treatment ..." (quoting http://www.hepatitis.va.gov/vahep?page=tp03-01-05-93). That's the reason why I'm worried. cheers, jeeb. Re: 2 weeks check: ALT levels Group: alt.support.hepatitis-c Date: Wed, Nov 24, 2004, 4:25pm (CST+7) From: ghibelno@__NOSPAMMEPLEASE__yahoo.it (ghibeluno) elmoemerson@webtv.net wrote: Don't worry about your ALT going up while on tx, Jeeb. It does that in alot of cases. Elmo Thanks Elmo, the fact is that actually I've been reading that: "... If the ALT level decreases quickly in the treatment process, you have a better chance of responding to treatment ..." (quoting http://www.hepatitis.va.gov/vahep?page=tp03-01-05-93). That's the reason why I'm worried. cheers, jeeb. ///////////// Although the page you're reading was modified a year ago, it was written nearly 12 years ago. When that page was written, there were no accurate methods for measuring viral loads, so they used LFT's as their guage for measuring whether treatment was working, or not. The statement you cited is generally true, but there are exceptions, especially with the newer treatment regimens. With some of us, our liver enzymes increase for a period ot time as a reaction to the interferon. In this case, it has nothing to do with the viral load. A rapid drop in viral load is a much better indication of successful treatment than is measuring LFT's. Like I said, don't sweat it. Elmo http://community.webtv.net/elmoemerson/DocElmosHepFile http://community.webtv.net/elmoemerson/TheFamilyAlbum >Hi all, > had to check after 2 weeks of tx. [quoted text clipped - 15 lines] >Hugs, >jeeb My ALT/AST first went down then started climbing. But the virus is still undetectable. As Elmo said it is not uncommon for the LFTs to climb during tx. My doctor isn't concerned about it and I'm not as well. You have to learn to relax during tx and just go with it. Good luck, jeeb. Don |
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